| NPI | 1447322300 |
|---|---|
| Former Name | ROBERTA WOODLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI 4343) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 12619) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |